Readmission and Reoperation Following Transurethral Incision of the Prostate for Benign Prostatic Obstruction: A 20-Year Retrospective Review and Analysis

Authors

• Amr Wael Yehia, Mansoura University Urology and Nephrology Center Mansoura, EGYPTFollow
• Mohamed Hegazy, Mansoura University Urology and Nephrology Center Mansoura, EGYPT
• Ahmed Refat Elnahas, Mansoura University Urology and Nephrology Center Mansoura, EGYPT
• Ahmed Mohamed Elshal, Mansoura University Urology and Nephrology Center Mansoura, EGYPT

Subject Area

Urology

Article Type

Original Study

Abstract

Introduction: Transurethral Incision of the Prostate (TUIP) is a recognized surgical treatment for benign prostatic obstruction (BPO), particularly in patients with smaller glands. While valued for its minimal invasiveness, it is associated with higher medium-term reoperation rates. This study analyzes a 20-year institutional experience to define the rate, timing, causes, and predictors of readmission and reoperation after TUIP. Methods: A retrospective review of 557 patients who underwent TUIP for BPO was conducted. Data collected included demographics, comorbidities, perioperative details and complications graded by the Clavien-Dindo system. Univariate and multivariate logistic regression analyses identified predictors of readmission and reoperation if present. Results: The overall reoperation rate was 12.9% (72/557). Strikingly, no readmissions (days) occurred for typical perioperative issues like hemorrhage or infection. All rehospitalization were late (>90 days) and attributable to recurrent bladder outlet obstruction (BOO) from regrown adenoma (58.3%), urethral stricture (25.0%), or bladder neck contracture (16.7%). The procedure demonstrated an excellent safety profile with low major complication (0.7%) and no transfusion rates. Multivariate analysis identified older age (OR 1.08 per year, p

Recommended Citation

Yehia, Amr Wael; Hegazy, Mohamed; Elnahas, Ahmed Refat; and Elshal, Ahmed Mohamed (2026) "Readmission and Reoperation Following Transurethral Incision of the Prostate for Benign Prostatic Obstruction: A 20-Year Retrospective Review and Analysis," Mansoura Medical Journal: Vol. 55 : Iss. 2 , Article 14.
Available at: https://doi.org/10.58775/2735-3990.1535

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